Presentation
Heel pain in an elite junior sportsperson.
Patient Data
Age: 13 years
Gender: Female
From the case:
Retrocalcaneal bursitis
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Mild bony prominence at the posterosuperior calcaneus (Haglund deformity) with cortical thickening and lucency, probably early enthesopathy.
From the case:
Retrocalcaneal bursitis
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Normal Achilles tendon. Retrocalcaneal bursal thickening and hyperemia with trace fluid.
Case Discussion
Retrocalcaneal bursitis is an uncommon cause of posterior ankle or heel pain. The small Haglund deformity in this case is a contributing factor, along with the presumed workload of being an elite junior sportsperson.